HomeMy WebLinkAbout216727 01/29/2013 a CITY OF CARMEL, INDIANA VENDOR: 00350182 Page 1 of 1
ONE CIVIC SQUARE HAMILTON COUNTY HUMANE SOCIETY CHECK AMOUNT: $2,000.00
CARMEL, INDIANA 46032 1721 PLEASANT ST
SUITE B CHECK NUMBER: 216727
NOBLESVILLE IN 46060
CHECK DATE: 1/29/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1180 R4358400 26678 1569 2, 000 . 00 SETTLEMENT
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Humane Society for Hamilton County
1721 Pleasant St., Ste B Invoice
Noblesville, IN 46060 Date
Invoice#
9/4/2012 1569
Bill To
Ship To
City of Carmel
3 Civic Square City of Carmel
Carmel. IN 46032
P.O. Number
Terms
Rep Ship Via F.O.B.
Project
Net 15 9/4/2012
Quantity Item Code
Description
I Sponsorship S Price Each Amount
Sponsorship of Dog Day Afternoon Event
Held August 25,2012,in Carmel at Center Green 2.000.00 2,000.00
Thank you for supporting the Humane Society for Hamilton County!
Total $2,000.00
city INDIANA RETAIL TAX EXEMPT PAGE
of Carmel CERTIFICAT cr ENO.003120155 002 0
PURCHASE ORDER NUMBER
�, �Gj�JL` f� - FEDERAL EXCISE TAX EXEMPT
ONE CIVIC SQUARE 35-60000972
CARMEL, INDIANA 46032-2584 THIS NUMBER MUST APPEAR ON INVOICES,A/P
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE DATE REQUIRED
REQUISITION NO. VENDOR NO.
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CONFIRMATION BLANKET CONTRACT
PAYMENT TERMS
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vg'p— A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
° J• NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
SHIPPING INSTRUCTIONS VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
•SHIP REPAID. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. THIS AP N.�
PRIATipFFIGIEN TO
CC�� __ R THE ABOVE ORDER.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. ORDERED BY
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE
IOCUMENT CONTROL NO. CLERK-TREASURER
A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
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VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF$
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ON A COUNT OF APPROBATION FOR
Board Members
P O#or INVOICE NO, ACCT#/TITLE AMOUNT I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
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